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Cervical disease

Cervical disease known as cervical syndrome, a degenerative pathological changes in the basis of the disorder. Performance for cervical disc degeneration itself, and a series of secondary pathological changes, such as segmental instability, loose; Nucleus prominent or prolapse; Spur formation; The ligament hypertrophy and secondary spinal canal stenosis, or oppression stimulate the adjacent nerve root and , vertebral artery and cervical sympathetic organizations, and give rise to a variety of symptoms and signs syndrome.

Cervical in the head, and upper limbs between vertebrae in the is the smallest, but the greatest flexibility, the highest frequency of activities, load larger segment, since it is not under various load, strain, even traumatic, so prone to degeneration. After about 30 years old, began to gradually cervical disc degradation, water content decreased, accompanied by the growth more apparent age, or to induce cervical and other tissues degeneration. Biomechanical perspective, 5-6, 6-7 cervical largest force, therefore, the location of in these segments were less than 20%. Statistics showed that about 50 years old in the crowd of about 25% of the people have or are suffering from , 60-year-old is about 50%, almost 70 years about 100%, that is the disease, the elderly and multiple diseases.

Clinical symptoms】 【

Clinical symptoms of more complicated. Major pain, upper limb weakness, numb fingers, limb weakness, walking difficulty, dizziness, nausea, vomiting and even wet, tachycardia and swallowing difficulties. Clinical symptoms of and lesion, organizations and individual differences involvement of a certain relationship.

1. Cervical: complained of head, and shoulder pain and feeling and tenderness associated with the corresponding points. Features stiffness, discomfort, pain, and activities are not flexible, which is the most common type.

2. Nerve root: the patient’s or arm numbness, pain, grip strength decreased, and sometimes feel that no Glenealy Cup of severity, pain difficult to sleep all night.

3. Vertebral Artery: the patient’s symptoms is , dizziness or tightness, pain. Each attack of vertigo and are the rotation.

4. Sympathetic type: of dizziness, vertigo, , Ma, tachycardia, cardiac pain before, and a series of sympathetic symptoms.

[Treatment]

Modern acupuncture in the treatment of , quite a few articles in the 1950s. From the late 1970s, along with geriatrics, the disease began acupuncture at home and abroad by the industry’s attention. In less than 20 years time, the Chinese medicine in China and other medical publications have reported thousands of cases with acupuncture treatment. Multiple Point stimuli, such as electro-acupuncture – needles, moxibustion at drug cake, cans of bamboo, Point laser irradiation, Point injection, the needle, needle, and so on beryllium are used in the treatment of this disease. Abroad, such as Romania, Japan, the United States, the Netherlands, Ireland, and other countries have carried out this work. Foreign workers in the use of acupuncture needles, or 0.13 electroacupuncture treatment, the Japanese scholars also used the alternate Jiang moxibustion. Point to Point Selection of the main and shoulder, but also used the way to Point A and Point.

According to statistical information at home and abroad, acupuncture efficiency of the disease in about 90%. To test efficacy, it was observed temperature to EMG against , found positive signs with the disappearance of EMG resting at fibrillation wave is of the wave disappeared, damaged nerve resume normal muscle strength, motor voltage potentials tend normal, that the effect is accurate.

▲ body acupuncture

(1) Point Selection
The main point: the two groups. 1, 4 to 7 Jiaji ; 2, 1 to 4 dumb wind pool, Tianzhu, Dazhui.
Point: nerve root and shoulder Well, shoulder joints, Quchi, Gu, after River endowment; Vertebral artery-plus Baihui, four god-tsung, the sun, the first dimension, Sanyinjiao, too River, between the lines; Sympathetic and Baihui, four god-tsung, BL, Yu , biliary Yu, Taichong; Spinal plus Zusanli, sun, the customs committee, Yang Ling-chuen, Central jump.
Dumb 1 ~ 4 position: a dumb and mute 2, 4 are located in the Du dumb, dumb for a section between 2,3 cervical spinous process (a dumb subglottic inch), 2 duds for cervical spinous process of 3,4, 6,7 dumb 4 for cervical spinous process of the (1-inch on Dazhui ). Dumb dumb two adjacent three in a 05. – Inch (bilateral).
Shoulder joint Point Location: scapula in the geopolitical point tenderness.

(2) Treatment
Main Points of each elected a group, alternately choose. Point of a group which generally take five to six Jiaji , and shoulder pain Ma refers to the wrist, were admitted; Group 2 point each election just dumb (1 ~ 4) of a point, I point to an election two points. According to Point of different type, from 2 to 4 points.
     Jiajixue operation: on the 30th from 28 ~ 150 ~ 2-inch needle of 0.13 to 75 degrees direction angle next to a black or jiajixue into 45-degree angle color to the tips are inconsistent flu retreat needle five points. Used to plug with a small Twist, to needle flu transmission. Bear in severe pain to slow interpolation, physically Ma cool slowly inserted patients bear mentioning. With a general-fill-reducing method. Dumb 1,2,4 Point, are the target of 1 ~ 2-inch, repeatedly mentioned interpolation not Twist, three duds into acupuncture with jiajixue. Request Point Selection accurate, in the gas light to plug after 3 to 5 minutes or destroyed needle 2 ~ 3 minutes, 3 needle dumb request for the upper flu flu point I should reach limbs electrocution flu. To needle flu from weak to strong, steady, not chaos and destroyed the officer. If dissatisfied with the flu needle, adjust the direction of the needle as no sense, and without force. Slowly the needle, the needle-point shootout after a short break. Cone, needling fast, slow delivery to the 1.5-inch needle deep. When the needle tip into slightly upward, after a tip-facing downward slightly, a thumb and index finger and then clamping needle stalk for a small rapid Twist, a trader flu patients through Du downlink, and then changed to a top-down tempo Twist (thumb upward, downward twist needle index finger), needle shipped half a minute. Retreat to subcutaneous needle, the needle will point to complex side, Twist to plug a minute, Henry reached exhaustion, leaving needles. Wind direction into the pool to the lower 1.5-inch needle about the needle flu radiotherapy to the head and , Tianzhu point to slightly sharp, needle flu to the appropriate emission are used fill-in-law . Point, a needle into the air after meeting with Ping-reducing method, in which needling shoulder joints Point 3 to 5 minutes, the appropriate local doctor; Endowment Point Point Selection in the , palm, black tip inward direction of the Commissioner, needle sensors to shoulder, elbow, wrist radiotherapy. Point above, except for those who do not stay, both in needle 20 minutes. At a daily or every other day, 10 to 12 times for a course of treatment, treatment interval 3 to 5 days.

(3) Evaluation
Clinical Criteria: clinical cure: symptoms completely disappeared, normal cervical activity, but the X-ray showed no obvious improvement degenerative disease; Obvious: Clinical symptoms reduced significantly after exertion slightly unwell, I Ibid. Effective: Clinical symptoms relieved, do light work, I Ibid. invalid: Symptoms and signs were not improved.

A total of 1,991 cases governance. Of these 1,741 cases, according to the above standards of clinical recovered 778 cases (44.7%) agonist 566 cases (29.6%), effective 401 cases (23.1%), 46 cases of invalid (2.6%), the total efficiency of 97 .4% [2 ~ 7].

Another 250 cases, and shoulder pain improvement rate of 91.6%, Ma shoulder activities that are obstacles to efficiency were 89.5% and 94.2% [8]. Overall treatment, the nerve root to the best effect of acupuncture, and the of the worst.

▲ electroacupuncture

(1) Point Selection
Main Points: Jiaji cervical 2 ~ 7.
Point: pension, Tianzhu, Dazhui, Shenshu, Yu, Qu pool, the customs Gu, Yang Ling-chuen, Rank edge.

(2) Treatment
The main point, according hyperplasia site, select the corresponding jiajixue. Point, each time from four to five points. Main Points to 2-inch needle 0.13 for 45-degree angle to the direction of the color, Wan needle to a needle flu transmission, distribution Point gas into a needle. Ping-Ping spilled a minute, and then connect electroacupuncture device, the main point to anode, cathode to Point, CW, frequency of 120 to 250 times / min, the current strength of the appropriate patient comfort, usually in a ~ 1.5 milliamperes. Once a day, every 30 minutes, 15 times for a course of treatment, treatment interval of 4 ~ 5 days.

(3) Evaluation
A total of 168 cases, with some in the West drugs, the total efficiency of 93.3 ~ 96.4%.

▲ Cupping

(1) Point Selection
The main point: the two groups. 1, A yes or Dazhui Point; 2, loom large, the throttle.
Point: days in shoulder Well, shoulder Fok.
A point is the location: the tenderness points.

(2) Treatment
Main Points for the first group -cupping, the second group of bamboo cans. Every time a group, can turn choose. If only the main effect was not significant points, or switch to a plus-two Point.

-cupping method is: first to beryllium Acupuncture, a straight shots deep to the periosteum, the needle after a small amount of outflow (generally not more than 5 ml), the can also call local thorn needles to the micro-bleeding. Needle added cupping, in 15 minutes tank to tank after local massage and head for rotating movement, a 3 ~ 5 days, 3 times for a course of treatment. A week treatment interval.

Bamboo cans France: the difference in size of the bamboo cans in the syrup pot boiling cooking 2 to 3 minutes, remove and make syrup off, and then quickly put points on the Wild , 7 to 10 minutes later removed to a degree for congestive or ecchymosis. At a daily or every other day, 10 times as a course of treatment. 3 ~ treatment interval on the 5th.

Solution Preparation: folic artemisiae, Eucommia, shielding, Ephedra, papaya, pepper, pangolins, Walker insects, Rhizoma et Radix Notopterygii, Cangzhu, live alone, HE, safflower, peach kernel, Speranskia tuberculata, Millennium Jian, 10 grams of Pittosporum Paper, frankincense and myrrh to 5 grams, plus cloth Paeunia cook formed.

(3) Evaluation
A total of 300 cases, 54 patients recovered clinical results, obvious and effective 215 cases, 31 cases ineffective, and the total efficiency of 86. 7% [15, 16, 18].

▲ Point Injection

(1) Point Selection
Main Points: new, is Point A, Dazhui, these days.
Point: nerve root and Acupressure, vertebral artery and the surge tank sympathetic.
New Point Location: Wind Point straight pool below, after the 1.5-inch hairline.
A point is the location: the tenderness points.

(2) Treatment
Solution: Mixed injection (Salvia injection +10 2 ml of 5% glucose injection ~ 10 ml); Wild papaya injection, Fufang Danshen injection.
Main Points 1 point each election, according to a distribution point in the election. A point is more cervical around carefully to find exploration, such as cable can be found – or nodular pain better. In inject drugs should be preceded by a brief mention interpolation makes obvious sense of gas, Acupressure point is reached should enable needle disease better arm and fingers, and then slowly injected, the drugs hold a hill, into a milliliter (A point is the two drugs can be injected ml). A meeting the next day, 12 times as a course of treatment.

(3) Evaluation
Rule 489 cases, 184 cases of clinical recovery (, 247 cases obvious, effective 45 cases, 13 cases ineffective, and the total efficiency of 97.3%. If the is divided into three, for a period of cervical instability, two for the stimulation of osteophyte, three for the oppression of osteophyte to the Point Injection Phase 1,2 best effect.

▲ pick rule

(1) Point Selection
Main Points: A point is.
A point is the location: the reaction points. Appeared , back, Dangshen range of changes. Generally round or oval, beans or Peanut tablets, neat edge, the edge deep in normal color, and reflecting weak. To Dazhui and cervical hyperplasia seen more parts.

(2) Treatment
Each election 3 ~ 4 A is the point. After disinfection using conventional 2% procaine local anesthesia, a thin needle to break , superficial again Endo silk fiber. Pick fiber silk, percutaneous needle affixed to thorn-first sliding forward in parallel and then gently lifted the needle upward, fiber silk Endo, pick net. The next pick, it will be the last pick in the exposed epidermis, the first cut silk fiber. Every five days a pick governance, 5 times for a course of treatment. Elections to pick each point rule, which must be a point in the cervical .

(3) Evaluation
Rule 560 cases, 504 cases cured clinical results, effectual 38 cases, 18 cases effectively, and the total efficiency of 100% [17].

▲ Cupping and Point Injection

(1) Point Selection
Main Points: jiajixue.
Point: wind pool, day in, shoulder Well, shoulder Yi, Gu, the Commissioner, in covenant.

(2) Treatment
Admission to the main point, a gas acupuncture, the use of fire or liposuction Cupping, a general admission to each two pairs jiajixue. Alternative 2 ~ 3 on Point Acupuncture, a gas fill-Ping Shi after practice. Stay cans time to a local Purpurin degrees. Needle in 15 minutes. The next day, take two pairs of cross-jiajixue were injected vitamin B12250 microgram / 1 ml (0.5 ml pot) and Angelica parasitic injection 2 ml (1 ml pot). The law, once a day on, for a two-month course. Course layout in January.

(3) Evaluation
Using this method the treatment of 312 cases, 62 patients recovered clinical results, effectual 235 cases, 32 cases of effective and ineffective three cases. The total efficiency of 93.1%. Follow-up of 60 patients with follow-up period of 6 months to 4 years, only one relapse.

Point laser ▲

(1) Point Selection
Main Points: A point is.
Point: wind pool, shoulder yi, Gu, Quchi, shoulder Liao.
A point is the location: the lesions jiajixue.

(2) Treatment
Main Points will take, Point Return. Use the following two law irradiation.
1, He – Ne laser irradiation: The helium – neon laser output power of 25 mW, irradiation distance of 100 cm, 2 cm diameter spot, direct irradiation is Point A, Point close to the end of the fiber exposure. A point is also can be connected to the fiber special acupuncture needle piercing vertical 3 ~ 5 cm to a strong expansion Ma flu after further irradiation. A point is irradiation, each 10 to 15 minutes; Point irradiation five minutes.

2, carbon dioxide laser irradiation: The treatment of carbon dioxide, with the distance from 25 points to 30 cm irradiated spot diameter of four centimeters, defocus vertical irradiation pot 15 to 20 minutes to a warm sense of the degree.

These methods are a daily meeting, 10 times as a treatment for 5 ~ 7.

(3) Evaluation
France ruled over 282 cases, 111 cases cured result, 112 cases of obvious, effective 44 cases, 15 cases ineffective, the total efficiency 94.7% [20 to 23].

【Cervical spondylosis non-surgical treatment:

The treatment of can be divided into surgical and non-surgical therapy for two. Current treatment for cervical spondylosis, most of the medical experts that non-surgical treatment, only a few cases required . Non-surgical therapy is the combination of Chinese and Western Medicine Integrated therapy, under different circumstances can choose one or two to three methods, purposes. Each is described below:

▲ practices Massage Therapy

TCM is the main treatment of , is a more effective treatment measures. It is the role of the and shoulder muscles to ease the tension and spasms, cervical resume activities, releasing the nerve root and soft tissue adhesion to alleviate symptoms.

▲ cervical traction therapy

This is more effective and broader application of a treatment, this therapy applies to all types of , in the early cases more effective.

▲ physiotherapy

In the treatment of , physical therapy can play multiple roles. Generally, the acute phase of viable long Pu Iontophoresis, ultrasonic, ultraviolet or the current dynamic; After alleviate pain by , iodine Iontophoresis, sensors, or other hyperthermia.

▲ temperature heat

Such treatment could improve circulation, ease muscle cramps, to reduce the swelling of symptoms after treatment practices to help with vertebral stability. This Act may be hot towel and bottle of local application, it is best to use the medicine Steaming hot compress. Acute pain patients unsuitable for heavier when temperature heat treatment.

▲ drug treatment

Drugs in the treatment of the disease can play a supporting role in the symptomatic treatment, choice of analgesics, sedatives, vitamins (B1, B12), vasodilator agents and herbs, right alleviate symptoms of a certain effect. Another approach in the treatment of , while patients on TCM-On governance, can enhance the effectiveness and shorten the course of treatment to alleviate the suffering of patients. Now clinical and common-prescription described below.

(1) TCM categories: cold dampness of resistance Tongxinluo
(Common in this type of and cervical nerve root type): After the occipital headache or pain, stiff , traveled unfavorable one or both sides arm and fingers acid pain anesthesia; Low back pain or headaches involved supremacy, cold wet , chills – hi heat, next to be hit cervical soft tissue swelling nodules. Tongue red, white moss thin, thin string clock. Huoxue governance to the temperature, relieving dehumidification, Tongluo painkillers.

Recipe: Sichuan Guizhi, Rhizoma et Radix Notopterygii, Clematis, Gentiana, Chuanxiong, Angelica Mei, puerarin, Tianma, artillery – A, speculation Divine Comedy, TPG.

Prescriptions Rhizoma et Radix Notopterygii, Ling cents Tianma, Gentiana, relieving pain desiccant; Chuanxiong, Tianma cure a headache. Guizhi, Chuanxiong, in the end, TPG, artillery A-temperature by activating , Tongluo; Puerarin spasm, and the Divine Comedy Jianpi stomach, licorice reconcile various drugs.

(2) TCM categories: qi deficiency type folder Stasis
(This type is common in cervical vertebral artery disease): dizziness, vertigo, visual or, as head of the pain, he is soft fatigue, , pain in the or shoulders pain. Tongue red light or fat, while a stick. Moss Run thin and white. Shen Fine veins powerless. Qi Yangxue to governance, Xingnao-God, Huoxue Tongluo.

Recipe: Tianma, Astragalus, Zhigancao, Lu Dangshen speculation macrocephalae, ready land, Amomum, Angelica, TGP, Spatholobus suberectus.

Prescriptions Astragalus, Zhigancao, Lu Dangshen speculation macrocephalae Air; Ready land, Chuanxiong, TGP, Angelica nourishing; Tianma, Chuanxiong, Spatholobus suberectus Anshen Jiannao, Huoxue Tongluo, Amomum rationale regulate gas and stomach.

(3) TCM categories: Qi-folder Stasis
(The type commonly found in the vertebral artery disease and cervical sympathetic): Vertigo repeated attack, dozens of patients on the 1st, even bedridden also depending on rotation, with nausea, vomiting, fatigue are soft, unstable walking, or palpitations, shortness of breath, irritable irritability, sore mouth suffering, poor sleep and dream. GC, mossy stones and thin white or dry, or of no moss-stripping, sublingual vein swell. Shen and small veins, or string a few. Yiqiyangyin to governance, Anshen Xingnao reconcile qi.

Recipe: Tianma, Chuanxiong, Hangzhou chrysanthemums, Chinese wolfberry son, Shashen, Zhigancao, Zaoren speculation, speculation Oriental, Polygalaceae, TGP, Salvia, Dragon in the evening, cross vine.

Prescriptions Zhigancao, Shashen, TGP, Medlar of Qi Yin; Tianma, Hang chrysanthemums, Zaoren speculation, speculation Oriental, Polygalaceae, rattan Xingnao informative reference to the night, Yang Xin soothe the nerves; Chuanxiong, Salvia, Dragon Huoxue Tongluo painkillers.

(4) TCM categories: spleen – -folder Stasis
(This type is common in patients with cervical spondylotic myelopathy surgical complications or kept); Not completely paralyzed limbs (hard paralysis or palsy), incontinence, chills-warming, restaurants normal or pathological. Tongue red, white or micro-thin moss tired, thin veins Shen string, or was Shen. Bushen Jianpi to governance, and the temperature-, gluten-bone.

Recipe: ready land, -, artillery Dried Ginger, turtle shell, Colla, artillery A Chu, Seeds of Brassica alba, speculation Eucommia, , medicine yam, speculation Divine Comedy, TGP, Sichuan Guizhi, cinnamon, Zhigancao.

Prescriptions ready land speculation Eucommia, Bushen nourishing ; Colla, turtle shells filled Lean pulp, gluten-bone; – - and , or astringent only survived; Chuan Guizhi, the cinnamon-and-yang; Dried Ginger guns, drugs yam, Zhigancao speculation Divine Comedy Spleen and stomach, Wenyang Qi; Seeds of Brassica alba expectorant Sanjie; A gun-Ruanjian Sanjie, on the active.

References [main]

     [1] Song Yi Qin, etc. Use needle EMG test temperature jiajixue effect on . Shanghai acupuncture magazine 1983; (2): 34.
     [2] – the Kingdom. Acupuncture Treatment with 160 cases of clinical observation. Chinese acupuncture 1988; 8 (6): 9.
     [3] Zhi – Jie Zhou, and others. Dumb 1 ~ 4 Points deep in treating 1,337 cases of . Shaanxi 1988; 9 (5): 204.
     [4] Wei Yi. Acupuncture treatment of 36 cases of observation. Shaanxi 1988; 9 (5): 204.
     [5] Ren Zhang, and others. Jong-Ching in the old Chinese way of effect of the treatment of . Liaoning Chinese magazine in 1985; (3): 28.
     [6] Zhao Guilan. Acupuncture treatment of 52 cases of cervical observation. Guiyang College of Traditional Chinese Medicine Journal 1986; (3): 34.
     [7] Wu forests. Acupuncture treatment of 136 cases of cervical observation. Chinese acupuncture 1988; 8 (3): 19.
     [8] Yunpeng. Acupuncture treatment of 250 cases of cervical syndrome clinical observation. Chinese acupuncture 1986; 6 (2): 14.
     [9] Linyingchun. Acupuncture treatment Jiaji endowment distribution of cervical nerve root of 138 cases. Zhejiang Chinese magazine in 1987; 22 (2): 69.
     [10] Zhang Wenming, etc. Electroacupuncture Treatment of 30 patients with cervical observation. Shanghai acupuncture magazine 1985; (1): 9.
     [11] Xuhengzhao, etc. Points Note wild papaya treatment of and 202 cases of Point temperature, pain threshold effects. Acupuncture Abstract Selected Papers (Chinese Acupuncture Society), 1987:116, Beijing.
     [12] Zhou Ji flutter. GV water needle treatment of 60 cases of . Zhejiang Chinese magazine in 1986; 21 (7): 310.
     [13] Kuang at TU. Point injection of vitamin E and massage treatment of cervical syndrome. Sichuan TCM 1986; 21 (2): 24.
     Xu Mingyang, England [14]. Point injection of triamcinolone acetate is a treatment of 70 cases of clinical observation. Chinese acupuncture 1987; 7 (2): 37.
     [15] Ying-yan, etc. Beryllium lose needle stabbed Cupping Therapy for Cervical 100 cases of SARS. Yunnan Chinese magazine in 1984; 5 (3): 34.
     [16] Zhang Yao Wei, and others. Tube therapy for 50 patients with cervical spondylosis preliminary observations. Tianjin Chinese Medicine 1985; 2 (3): 22.
     [17] Cao Run. Pick treatment of 560 cases of . Chinese acupuncture 1991; 11 (2): 5
     [18] High rain. Cupping Plum needle-moxibustion treatment of 150 patients with cervical hyperplasia. Acupuncture Journal 1990; 6 (2): 22.
     [19] Sun Lijun. Point deducted drug injection needles and treatment of cervical Cupping 312 cases of SARS clinical observation. Chinese acupuncture 1988; 8 (1): 12.
     [20] WANG Tie-bing, etc. He – Ne laser in the treatment of cervical nerve root type of observation. China physiotherapy magazine 1989; 12 (2): 89.
     [21] Chi Rong, etc. He – Ne laser irradiation treatment of . China physiotherapy magazine 1990; 13 (1): 25.
     [22] MA Shi Gong. CO2 laser treatment for 100 cases of . China physiotherapy magazine 1988; 11 (2): 67.
     [23] Single Qiuhua. Laser Acupuncture treatment of cervical carotid jiajixue of 102 cases of observation. Chinese acupuncture 1993; 13 (3): 15.
     [24] Zhong up. Fufang Danshen injection point injection in the treatment of 87 cases of cervical Chinese acupuncture 1997; 17 (8): 41.

May 25, 2008 Posted by fengxinsu | Health | | No Comments Yet

Tongue Cancer

First, what is tongue ?
Tongue is the most common oral , and more men than women. For the majority of squamous cell carcinoma of tongue , particularly in 2 / 3 site, adenocarcinoma rare, and more at the tongue base, the base of the tongue can sometimes occur lymphoid cell carcinoma and undifferentiated carcinoma. Multi-lingual tongue occurred in margin, followed by our tongue, the tongue back and the base of the tongue and other places, often for the ulcer type or infiltrating. General vicious higher degree of rapid growth, more invasive, and often affected muscle, resulting in tongue movement is restricted, so to speak, both in eating and swallowing difficulties. Tongue backward can be violated arch palate and tongue tonsil, advanced tongue can spread to the floor of the mouth and jaw, so that the entire tongue fixation. In secondary infection or often tongue base in severe pain, and radiotherapy to the same face. Because of the tongue has rich lymphatic and circulation, and the mechanical movement frequent tongue, and the transfer of the earlier transfer of tongue risk higher. Tongue back or crossing the midline of the tongue to tongue can contralateral cervical lymph node metastasis;Department of the lower jaw and more deep lymph nodes, in the group transfer; dental can be transferred to the Department under the chin or directly to the deep cervical in the lymph nodes, the of the tongue base not only transferred to the lower jaw or deep cervical lymph nodes, but also to the styloid process and after the posterior pharyngeal lymph node metastasis. Distant metastasis occurred tongue may also, more generally transferred to the lungs.
Second, the diagnosis of tongue
1) tumor incidence in the lateral margin of the tongue in 1 / 3, showed infiltration or collapse soup block.
2) corresponding parts often foci of chronic stimulation factors exist, such as root, residual crown or bad repair; may also exist, such as leukoplakia precancerous lesions.
3) pain significantly,
4) tumor infiltration to tongue nerves and hypoglossal nerve, it can have tongue numb tongue movements and obstacles arise words, eating and swallowing difficulties.
5) tumor metastasis through more, earlier, to the most deep cervical lymph node see; can also occur distant metastasis to metastasis common.
6) According history of violations can be tongue at the end of the floor of mouth of the mouth and tongue situation differential.
Third, tongue prevention: removal of the tongue incidence incentives to enhance the body resistance, in tongue is an effective prevention measures.
Tongue of the oral 45.9 percent, also found the edge of the tongue rotten teeth (residual crown, root), the age-sharp teeth wear a non-functional or occlusal surface cusp of the ridge edge of the long-term mechanical tongue mucosa stimulate and chronic injury. In tongue is a major factor. Alcohol, smoking bad habits, the long-term to stimulate the tongue mucosa, and tongue incidence also closely related. In addition, the majority of oral tongue patients with poor health, often suffering from diseases such as periodontitis, so that long-term in the invasion of the bacteria, so that the edge of the tongue base constantly being infected with chronic injury, wound erosion long also prompted tongue the important factors.
The specific method is:
1, we should pay attention to oral hygiene, do daily morning and evening brushing, mouthwash after meals; annual oral examination 1-2 times and found teeth, gum disease to be treated and, if early lesions should be removed.
2, use to repair the residual crown, root should be promptly dealt with earlier restoration of the normal anatomy of the teeth; difficult to cure, the use of residual crown, root, even if no inflammation, pain the symptoms, but also promptly removed, and set teeth on time.
3, grinding to a non-functional sharp teeth and sharp edge ridge to crown the cusp occlusal surface and edge ridge into a round blunt shape, in order to prevent injury lingual edge organizations.
4, found that benign lesions or precancerous lesions, such as tongue body papilloma or erosive lichen planus, excision biopsy should be timely, or positive treatment, periodic observation.
5, quit smoking, alcohol and other bad habits; enhance physical exercise, improved nutrition, eat more rich in vitamins and anti-, anti- role of the fresh fruits, the incidence of tongue prevention is very important.
Fourth, the early symptoms of tongue
Most of tongue from normal mucosa on the occurrence of is the beginning; from a few feet from benign lesions, such as changing from white form.
Occur in Tongue Margin of 1 / 3, followed by abdominal and tongue tongue back. Tongue early can be seen under the and submandibular lymphadenopathy. Early symptoms not obvious, mucosal surface can be expressed as a clear boundary, the scope of fixed, color anomaly region. Most of this area was red or red-and-white, smooth surface can be a small or granular, the majority of ulcers, a handful of ulcer; may mucosal surface or higher than mucosal surface one millimeter around. Obvious signs displayed during mass for the tongue, ulcers with pain. When the tumor at the base of tongue violations, there will be radioactive earache; invasive can cause the tongue muscle movement restricted tongue when the whole invasion causing tongue tongue fixed, drooling, eating difficulties, language unclear.
Foci may ischemia, hypoxia, caused necrosis, ulcers and secondary infection, with a , stench. The tongue cervical lymph node metastasis rate of 29% to 38%, sooner or later period associated with the disease. Treatment of tongue , radiotherapy is not the first choice in . Diameter 2 cm below the cure rate can be as much as 88 percent.
5. Tongue treatment and dietary care
(1), the treatment of tongue mainly to surgical resection. Tongue of the tongue jaw radical joint radical operation + pectoralis major flap transplantation. can cause facial deformities and patients with dysfunction and affect the patient’s quality of life, patients despair, fear, refused psychological treatment. Nurses should patiently explain to divert work on the preoperative and postoperative prognosis of the situation, the best for the same operation is successful communication with their patients, talk and reduce the tension with fear, with the treatment.
1) before tongue care:
Three routine examination, electrocardiogram, X-ray, , coagulation four; check and function, and gallbladder , head MR excluded organ metastasis; preoperative three days mouthwash, use Bayesian Duo Furacilin fluid or fluid – bring to maintain oral cleaning. Preoperative 1, do I prepare Paper Week, with , drug allergy test. Preoperative ban eating 10 hours.
2) post-operative care tongue :
1. Pillow to supine position, the first preference contralateral, brake to prevent traction pectoralis major vascular pedicle. After 24 hours later to be half-sitting position to shoot back, Qin stood up to prevent falling plot and the occurrence of pressure sores, keep at room temperature 22 to 25 ℃.
2. Closely observe the changes in vital signs, especially , to maintain airway patency, if tracheotomy, pay attention to timely sputum suction to prevent the obstruction caused by suffocation, do tracheal kits care, to the α + chloramphenicol eye drops chymotrypsin drop casing q2h. aerosol staff members, guiding patients effectively expectoration.
3. Observation of the flow from the open to prevent drainage tube off, distorted leak. Records drainage liquid color, quality, quantity and, if timely reporting doctors.
4. Flap survival after observation, temperature can be measured temperature. If after 72 hours found flap pale, temperature less than 2 ~ 3 degrees for arterial insufficiency, temperature lower than the 3 to 5 degrees, and more obstacles to venous return. Doctors should report, to the low molecular weight dextran 500 ml or Fufang Danshen intravenous fluid infusion, vascular expansion, improvement flap supply.
5. Good oral care. For two percent hydrogen peroxide + saline solution or alternate Furacilin washing two times a day.
6. After 24 hours nasal feeding feeding, not the total calories in 10467 to 12560 J (2500 ~ 3000 card). Time 7 ~ 10 days, let the patient before extubation trial mouth eating liquid.
7. Antibiotics as directed to prevent infection and, if necessary, transfusion or albumin to enhance resistance.
8. Wound healing, guiding patients tongue functional training, tongue protrusion, the volume, lateral extension, the next arrival, rotate daily 4 ~ 5 times, 5 to 10 minutes, voice training from the single statement to complex language .
9. Tongue after chemotherapy or radiotherapy for regular referral to ensure that the high-protein, high-nutrition food, and maintain oral cleaning.

FROM:http://enquiriesdisease.com/2007/11/tongue-cancer.html

May 25, 2008 Posted by fengxinsu | Health | | No Comments Yet

How to prevent cancer recurrence?

The recurrence of cancer is very common in clinical practice, many cancer patients can be cured after treatment, but after a period of time, has had a relapse of cancer. The treatment of recurrent cancer than the original, the more difficult. Therefore, under control or cure cancer after recurrence must attach great importance to the issue. How can we prevent or reduce the recurrence of cancer?

First of all, the treatment of primary cancer should be as thorough, even after more follow-up anti-retroviral treatment.

Early adoption of the radical cancer surgery, radiotherapy and chemotherapy reasonable plan and comprehensive treatment of Chinese and Western Medicine, can prevent recurrence. But for advanced cancers through the treatment of a one-time or surprise, it is difficult to be absolutely thorough removal of residual cancer cells in vivo. Therefore, after conducting formal treatment, we must pay close attention to anti-retroviral treatment, was unable to discover the original inhibit the further development of cancer. Generally speaking, cancer treatment clinical symptoms disappeared after more than five years will still adhere to the anti-retroviral treatment.

Second, to eliminate or prevent cancer recurrence of a variety of factors, active cancer treatment and related chronic diseases. For some internal carcinogenic factors should pay special attention to all cancer patients to maintain a happy mood, avoiding long-term, excessive tension and the spirit of adverse stimulation. May trigger cancer of the chronic diseases will be reduced immune function of patients affected local or systemic preventing the capacity should be given aggressive treatment.

Third, strengthening physical training and improve body function and Inoculations, Immunizations resistance capacity. After more cancer patients in the rehabilitation process, in light of its own actual situation of some such as qigong, tai chi, jogging and other sports, in order to promote the recovery of function in patients with systemic and improve body function Inoculations, Immunizations, reduce risk of cancer recurrence.

Finally, we must often self-examination and to the hospital to check regularly. Patients should take note of the original lesion location and whether new tumor near, nodular, rupture, whether new pain. In addition, we must pay attention to systemic change, gradually increase the availability of fatigue, loss of appetite, weight loss, anemia performance. Once the above, should be timely to conduct a comprehensive inspection of the hospital as soon as possible to take remedial measures.

March 29, 2008 Posted by fengxinsu | Health | | No Comments Yet

Diabetes and the contents of cataract

Diabetes is the result of human pancreatic islet insulin secretion caused by the lack of glucose metabolism disorder in a disease. Here, “Sugar” is the word generally refers to carbohydrates, such as in food, sugar, rice, flour, vegetables, fruits, etc., contain sugar ingredients. Since diabetic patients glucose metabolism disorder, which led to fat and protein metabolism disorder will cause cardiovascular and neurological complications. Fundus of the eye complications such as bleeding and cataracts.

Except for a small number of congenital cataract or injury caused by, many because of the crystal containing metabolic disorder caused by the lens opacification. Crystal seems to be the camera’s lens, lens opacities like to do with a piece of ground glass lens of the camera, light was blocked. Crystal intron of metabolic disorders, in the elderly rather. Cataract is mainly occurred in the elderly. Diabetic patients without effective treatment, cataract often occur earlier, the development of faster, more serious degree.

Although there are many eye-drops can be used for cataract treatment, but the effects are not sure. With the crystal turbidity removal surgery to remove the obstacles blocking the light, is an effective method of treatment. Cataract can be divided into the early period of expansion, maturity, a maturity, etc.. Developed to maturity will come to the blind, at this time may consider surgery. But before surgery, the eyes should be checked clear sense of location-good, normal intraocular pressure, eye inflammation and without a serious systemic diseases, such as hypertension, uremia, and so on, can be expected to have better results. Cataract patients with diabetes accompanied, to surgical treatment for cataract, diabetes, we must first control satisfaction. Otherwise very easily cause eye infections and internal bleeding complications.

March 29, 2008 Posted by fengxinsu | Uncategorized | | No Comments Yet

How to prevent the occurrence of cataract?

There are various different types of cataract, cataract development is entirely preventable, the mother during pregnancy, especially in the eyes embryo formation phase, the pregnancy before 3 months, should guard against influenza, fever, rubella, urticaria, so that once incidence, under the guidance of doctors should use to avoid fetal damage.

In addition, adequate vitamin supplement. Attention eye protection to prevent mechanical, radiation damage to the eyes, educate children not to use the sharps make boisterous noise, not playing dangerous toys, in order to avoid the occurrence of traumatic cataract. Positive complicated cataract treatment when the original disease, such as diabetes glucose control should be; Chronic uveitis should actively search etiology, and insisted on treatment, prevention of recurrence. Senile cataract is multiple, complex causes, including nutrition, metabolic, endocrine changes in ultraviolet radiation, environmental factors, prevention should be based on the situation of the nutrition and protection. Differential Treatment of using Chinese medicine, commonly used Liuweidihuang pills, the body of the adjustment Buzhongyiqi pill overall balance

March 29, 2008 Posted by fengxinsu | Health | | No Comments Yet

Children often use glucose can cause digestive dysfunction

Children often use glucose can cause digestive dysfunction

Glucose metabolism in the body is essential nutrients. It released by the oxidation reaction of calories necessary for the activities of human life is an important source of energy.

Glucose to supplement the body energy shortage. In daily life, many parents think that glucose nutrient-rich, treat it as children tonics, regardless of what children are eating glucose release point that this useful sound. In fact, such an approach is neither economic, and harmful to children’s health.

In addition to glucose, the body’s intake of carbohydrates can not be directly absorbed and used, must be in the body into glucose before being absorbed. White sugar is a monosaccharide molecules from the condensation from the double sugar, such as body double sugar intake after intestinal digestive juice of the sugar there will be double-double sugar digestion and decomposed into glucose and fructose. After digestion of glucose no steps can be absorbed directly into the blood. Therefore, when human need sugar, a cup of glucose can quickly absorb and use. However, the normal human body, its gastrointestinal tract to digest a certain amount of white sugar and is likely to absorb soon. Therefore, no need to use glucose to completely replace sugar. On the contrary, if long-term consumption of glucose to the children, will often lead to decreased function of the normal digestion, double sugar normal intestinal secretion of digestive enzymes and other enzymes function in the degradation of disuse, the impact on other children with food digestion and absorption. Therefore, children should not be Changfu glucose.

Xiaobian Note: the basic elements of human medicine and basic raw materials, goods and the use of the role of a very wide range, can be directly applied to humans, can be used in food processing, and medical and chemical industry. It rapidly increasing human energy, endurance, can be used as low blood sugar, cold fever, prostration dizziness, weakness and myocarditis supplementary solution, there is a certain cancer treatment.

January 19, 2008 Posted by fengxinsu | Health | | No Comments Yet

Middle-aged men often visceral food animals can be improved sexual function

With older men in androgen secretion of the decrease in libido and sexual function gradually decreased, regular consumption of the following foods will help improve sexual function in older men.
1. Animal offal. Contain more cholesterol, and cholesterol synthesis is an important sex hormone formulations. In addition animal offal containing epinephrine and sex hormones also can promote the separatist spermatogonia and mature.

2. Zinc food. Zinc for men’s reproductive system to normal structure and function play an important role in the maintenance. Zinc deficiency would reduce the number of sperm, affect libido, sexual dysfunction. Zinc most important food of the highest oyster meat, such as peanuts, cereal, beans, potatoes, vegetables contain a certain amount of zinc.

3. Containing arginine food. Arginine is a necessary part of a formation of sperm, who eat foods rich in arginine help Bushen Yijing. Nianhua such food characteristics, such as sea cucumbers, cold bean curd, seaweed, such as peas.

4. Calcium food. Calcium can stimulate sperm maturation. Calcium rich foods have dried small shrimps, Xiandan, egg yolks, dairy products, soybeans, kelp, and other Zhimajiang.

5. Vitamin-rich food. Vitamin A, vitamin E and vitamin C will help to retard aging and prevent sexual function recession, many of them exist in fresh vegetables, fruit.

January 19, 2008 Posted by fengxinsu | Health | | No Comments Yet

Eat peanuts can prevent skin diseases

1. Seeds can be Yangyan. Seeds contain protein, fat, a variety of vitamins and minerals, which is particularly rich in linoleic acid. Linoleic acid helps keep the skin tender and prevent skin drying and generate mottling.

2. Peanuts, can prevent skin diseases. Peanut rich in vitamin B2, residents of China is the more usual diet of the lack of vitamins. Therefore more interested in eating peanuts, not only day-to-day dietary supplement of vitamin B2 inadequate, but also help control cleft lip, red itchy eyes, seborrheic dermatitis, and other diseases.

3. Walnut, a show can be. Walnut is rich in auxin, could not nail solid walnut cracking at the same time rich in vegetable protein, could promote the growth of the nail. Tied walnut, and contribute to the nail-tough.

4. Jujube, the prevention of scurvy. Date of vitamin C content is very rich, and the nutritionist called “living vitamin C pill.” If lack of dietary vitamin C, people will feel fatigue burnout, and some have even scurvy.

5. Cheese Guchi. Cheese is calcium “rich” will enable strong teeth. Nutritionist through research shows that an adult every day to eat 150 grams of cheese, would assist in achieving the old teeth not old goals.

6. Fig, promote blood circulation. Fig Aspirin contains a similar chemical substances. Can be diluted blood, increasing blood flow, so that the full amount of blood for the brain.

7. Pistachios and pumpkin seed, rich in unsaturated fatty acids, beta-carotene, and the enzyme peroxidase substances, to ensure the appropriate use of cerebral blood flow, a high spirit, radiant.

8. Naitang, sugar, calcium, appropriate energy consumption can add the brain, it is God Shuang, skin moisturizing.

9. Chocolate, people feel good and beauty, could have talked of love, the same as in reactive substances.

10. Sesame paste, Wufa, conditioner, nourishing the work, eat can be symptomatic of white hair, alopecia, a hair Wuliang beautiful.

11. Raisins, Yiqi, blood, Yuet Yan of the benefits. However, attention should be paid to health.

12. Baohetang can Run throat, in addition to bad breath, loose heat, it is God-jets Shuang.

13. Oranges, oranges, apples and other fruit, rich in vitamin C, can slow down or block the synthesis of melanin, the skin whitening is a basic food, blood can remain neutral or weak alkaline, fitness, Beauty role.

14. Beef jerky, grilled fish-rich in protein, iron, zinc, etc., is an Fresh skin rosy.

15. Milk drink, containing one-third of the milk, and sometimes vitamins and trace elements to strengthen is one nutritious beverages.

December 22, 2007 Posted by fengxinsu | Health | | No Comments Yet

Vitamin D can prevent pancreatic cancer

Vitamin D is the main function of regulating the body of calcium, phosphorus metabolism to maintain the level of calcium and phosphorus in order to maintain teeth and bones to the normal growth and development. Vitamin D in the body play a major role by promoting the absorption of calcium in turn regulate a variety of biological functions. Studies have shown that vitamin D3 many animals can be induced by the intestinal mucosa have a specific calcium marriage protein (CaBP), an increase of the animal intestinal calcium ion permeability, promoting the absorption of calcium in the intestines.

Vitamin D is the main function of regulating the body of calcium, phosphorus metabolism to maintain the level of calcium and phosphorus in order to maintain teeth and bones to the normal growth and development. Children lack of vitamin D, high incidence of rickets, a vitamin D too much will cause acute poisoning. Vitamin D is a fat-soluble vitamin, five compounds on health is relatively close relationship between vitamin D2 and vitamin D3.

From the United States to the latest research shows that daily supplement of vitamin D can effectively reduce the risk of developing pancreatic cancer.

The Northwestern University led by the United States launched the study, 12 million people a long-term follow-up investigation. The results showed that daily vitamin D tablets of the risk of developing pancreatic cancer than those who do not take vitamin D tablets of a low 43%. Scientists say that when a patient was diagnosed with pancreatic cancer, they often have missed the best time for treatment. Therefore, a daily supplement of vitamin D can effectively play the role of anti-cancer cancer. Scientists also said that vitamin D not only for the prevention of pancreatic cancer, but also effectively reduced risk of bladder cancer, breast cancer and the risk of colon cancer.

Scientists also need to be further studied to determine eat foods containing vitamin D or more sun, it can take a vitamin D tablets with the same effectiveness. But scientists at the same time pointed out that the research is still at an early stage, people should not be taking vitamin D blindly.

December 22, 2007 Posted by fengxinsu | Health | | No Comments Yet

The therapeutic hepatitis patients

Human liver is an important organ of metabolism, the human body by the digestion and absorption of proteins, carbohydrates, lipids, vitamins and other nutrients, the gastrointestinal tract after digestion and absorption in the liver may be after glucose into glycogen storage, at the same time and fatty acids into lipoprotein cholesterol, In addition, many human protein synthesis are also manufactured by the liver, which can be seen the importance of the liver.

The patients also Huangantan how food intake? Hepatitis patients to a higher intake of protein to help repair the liver, to liver regeneration, such as lean meat, dairy, eggs, fish, dry beans and soybean products are all rich in protein foods.

Carbohydrates are an important source of human energy, there are a large number of liver glycogen itself to liver cells role in the protection and promotion of renewable, hepatitis patients should pay attention to the carbohydrate intake, from rice, flour, wheat, beans and vegetables in the vitamin for human growth and metabolism for a small amount of organic material, such as a lack of will cause liver metabolism dysfunction, and proceeded to affect liver function, and the fresh fruits and vegetables that hepatitis patients should be more intake of food sources.

Poor liver function inadequate natural bile secretion, metabolism of fat absorption will be affected, hepatitis patients should Jishi meat, egg yolk, oily food, as well as visceral fat intake also need to be controlled. In short, hepatitis patients should be nutritional diet, but should avoid eating canned, artificial, preserved, roast meat and stereotypes, such as food, to allow an early resumption of liver function.

December 22, 2007 Posted by fengxinsu | Health | | No Comments Yet

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